NPI | 1730540881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130561) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9331430) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2024-05-08 |